Psychiatric Interventions in Virtual Reality: Why We Need an Ethical Framework.
Psychiatric Interventions in Virtual Reality: Why We Need an Ethical Framework.
复制标题
虚拟现实中的精神病干预：为什么我们需要道德框架。
DOI：
10.1017/s0963180120000328
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
K. Vogeley
中科院分区：
文献类型：
--
作者：
M. Marloth;J. Chandler;K. Vogeley
虚拟现实（VR）的最新改进允许在真实的时间中在共享的复杂虚拟世界中表示真实环境和多个用户。这些进步促进了临床应用，包括精神病学。然而，尽管VR已经用于临床环境中，以帮助患有精神障碍的人（例如，暴露疗法），相关的伦理问题需要更多的关注。基于主题文献检索，作者确定了与VR临床使用相关的五个主题：（1）现实及其代表性，（2）自主性，（3）隐私，（4）自我诊断和自我治疗，以及（5）期望偏差。现实及其表征是VR的核心主题，但在临床背景下，当涉及对现实的感知时，例如在精神病期间，也具有特殊意义。与之密切相关的是VR用户的自主性。虽然自主性在生物医学伦理学中是一个备受关注的话题，但当涉及到VR在精神病学中的应用时，它还没有得到充分的讨论。在这篇综述中，作者讨论了不同的主题，并建议为VR的临床使用制定一个伦理框架。
Recent improvements in virtual reality (VR) allow for the representation of authentic environments and multiple users in a shared complex virtual world in real time. These advances have fostered clinical applications including in psychiatry. However, although VR is already used in clinical settings to help people with mental disorders (e.g., exposure therapy), the related ethical issues require greater attention. Based on a thematic literature search the authors identified five themes that raise ethical concerns related to the clinical use of VR: (1) reality and its representation, (2) autonomy, (3) privacy, (4) self-diagnosis and self-treatment, and (5) expectation bias. Reality and its representation is a theme that lies at the heart of VR, but is also of specific significance in a clinical context when perceptions of reality are concerned, for example, during psychosis. Closely associated is the autonomy of VR users. Although autonomy is a much-considered topic in biomedical ethics, it has not been sufficiently discussed when it comes to applications of VR in psychiatry. In this review, the authors address the different themes and recommend the development of an ethical framework for the clinical use of VR.
影响因子：
82.9
作者：
P. Kellmeyer;N. Biller-Andorno;G. Meynen
通讯作者：
G. Meynen